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HIV DiseaseHIV Disease

Clinical VignettesClinical Vignettes

BRN

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Case 1Case 1

22 year old lady presents with a 3day history of fever, chills, fatigue,night sweats, tenderlymphadenopathy, pruritic macularrash

Name 4 differential diagnosis

What further question would you asthe atient!2

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Case 1

"he had unprotected se# with a newpartner 4 wees ago$ %er %&'anti(ody test negative

What could (e happening to thispatient!

%ow should the patient (e

evaluated! 3

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Case 2Case 2

24)year)old %&' positive woman witha past history of *+B which has (eentreated

urrent pro(lems) chronic fever

) chronic diarrhoea

) - 1./ weight loss) mild dry cough 0intermittent

What is the W% clinical stage !4

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Case2Case2

%er 4 is cells5mm6$

"hould she tae cotrimo#a7oleprophyla#is!

Would you start 8R+ or not and why!

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Case 3Case 3

91 year old %&' positive patient(eing treated for *+B developssudden onset of left hemiparesis

What are the differential diagnosis!

%ow will you investigate the patient!

:

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Case 3Case 3

8 + head scandone for patientshows a single

ring enhancedlesion$

What is the mostliely diagnosis!

What is the W%clinical stage!

%ow will you treat

this patient!

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Case 4Case 4

8 3. year old teacher diagnosed with%&' infection : years ago complainsof difficulty in swallowing

What are the possi(le differentialdiagnosis!

;

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Case 4Case 4

%e has loss of weight and a history ofherpes 7oster 9 years ago

n physical e#amination he has oralcandidiasis and dar plaques on hissin

What is his dermatological diagnosis!

What is his W% clinical stage!

%ow will investigate him!